“Flat denial” – when a mastectomy patients’ wishes to have a smooth flat chest after their surgery are denied by the unilateral actions of their surgeon(s), either intentionally despite technical competence, or by default through lack of skill or care.
These surgeons are either unwilling or unable to produce the desired result for the patient and fail to fully inform the patient of these facts or refer her to a willing and competent colleague.
Their actions leave the patient with an unacceptable result that requires additional surgery to fix.
And no one holds them accountable.
Our 2018 Survey found that of all patients who choose to go flat, 5-12% are instead subjected to intentional flat denial by a surgeon who believes they will “change their minds.”
This must STOP.
Please feel free to print, distribute, and otherwise fairly use the educational materials provided on this site (brochures, guidelines, etc.). Our goal is to educate patients and medical providers about flat denial. For more information on fair use, see below.
For the full list of resources, please access our Resources Page.
- What is Flat Denial?
- Our informational brochure for patients going flat – how to protect yourself from flat denial and ensure that you get a good flat result
- Guidelines to help victims of flat denial navigate the aftermath
- Discussion on confronting your surgeon after flat denial
- Access our Flat Friendly Surgeons list via email to NotPuttingonaShirt@gmail.com
- Catherine Guthrie’s groundbreaking Cosmopolitan article featuring NPoaS founder Kim Bowles – a scorching treatise on sexism in medicine
- Brut’s FB video outlining the issue and NPoaS advocacy
- Our 2018 Survey Report, which quantified flat denial as a significant risk
- Survivor Stories, in their own words and images – flat and not-flat outcomes for women who requested a flat cosmetic result:
- Media coverage on the issue of flat denial, and on NPoaS advocacy efforts
- Flat Closure NOW – our sister education and advocacy collective dedicated to ensuring breast cancer patients and providers understand that “going flat” is a valid, beautiful, healthy surgical option after mastectomy